Review and comparison of existing practices for the implementation of municipal programs of prospective public health

Abstract


In the context of decreasing competences of municipal authorities and limited funding allocated to the regional health sector, municipal public health promotion programs remain one of the priority measures for the implementation of population prevention. A literature review was conducted on the electronic databases PubMed and eLibrary. Search depth — 15 years. Publications describing the policies, programs and projects implemented in the municipalities of the Russian Federation and foreign countries were selected and analyzed. In general, the positions of researchers can be divided into two conditional groups: the first includes programs that exclude decentralization. In the second group — typologized for a particular municipality, taking into account medical and demographic characteristics. Structurally, municipal programs can be classified into four areas. The results of numerous publications indicate that the most effective programs are obtained taking into account the process of decentralization, with the expansion of the sphere of influence of local municipal authorities and taking into account the specific determinants of public health in the municipal area.

About the authors

Anton A. Lang

Krasnoyarsk Regional Center for Public Health and Medical Prevention, Krasnoyarsk, Russia

Email: oogenez@bk.ru

Daria G. Mylnikova

Krasnoyarsk State Medical University named after Professor V. F. Voyno-Yasenetsky, Krasnoyarsk, Russia

Email: daryavishnyakova@mail.ru

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